| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $111.16 | $526.01 | $886.62 |
Cigna
| Facility | 26 | $602.28 | $602.28 | $602.28 |
Medica
| Facility | 26 | $531.37 | $531.37 | $531.37 |
Midlands
| Facility | 26 | $333.34 | $343.05 | $602.28 |